Hello Nandwani Ji,

Your TSH level is low at 0.04, while your T3 and T4 levels are normal. This could indicate that the thyroxine dose you're taking (100 mcg) might be too high. However, adjustments to thyroid medication should only be made after consulting your doctor or endocrinologist. They will consider your symptoms, lab results, and medical history to determine if a dosage change is needed. Self-adjusting your dose could lead to complications.

Hello Sudipta Ji,

We are sorry to hear about your father’s condition. Recovery after an ischemic stroke can take time and often requires a multidisciplinary approach.

1. Consult a neurologist or stroke specialist at a reputed hospital. They may re-evaluate his treatment plan and suggest additional therapies.

2. Stroke patients often require physical therapy, occupational therapy, and speech therapy to regain movement, balance, and communication skills. Intensive rehabilitation programs can sometimes help improve outcomes.

3. Focus on his nutrition and hydration and prevent complications like infections, bedsores, or blood clots, which are common in bedridden patients.

We wish him a speedy recovery!

Hello Ramachandran ji,

Black spots on the legs can be caused by various factors, such as hyperpigmentation, skin infections, or poor circulation. It's important to monitor for any accompanying symptoms, such as pain, swelling, or redness.

For general care:

• Keep the area clean and moisturized.
• Apply sunscreen to prevent further pigmentation.
• If the spots persist or worsen, consult a dermatologist for an accurate diagnosis and specific treatment.

Hello Abhishek ji,

The HRCT report suggests the presence of a loculated left pleural effusion, which is fluid accumulation in the pleural space around the lungs, associated with thickened parietal and visceral pleura on the left side. This is indicative of empyema, a condition where the pleural fluid becomes infected, often following pneumonia or other lung infections. Additionally, fibro-parenchymal strands in the left lower lung suggest previous scarring or fibrosis, possibly from a past infection or inflammation.

Treatment usually involves draining the pleural fluid (via thoracentesis or chest tube) and antibiotic therapy to treat the infection. In some cases, surgical intervention may be needed. It's important to follow up with a pulmonologist or a chest specialist for further evaluation and management, including the potential need for drainage or further imaging.

Hello Sandeep Ji,

Ayushman Bharat provides free treatment through a network of empanelled hospitals across India. To find a hospital near you that offers free treatment under the scheme, click on the link below to check the list of empanelled hospitals:

Click here to check empanelled hospitals near you

These hospitals offer a range of medical services, including surgeries, diagnostics, and treatments for various conditions, as covered under the PMJAY scheme.

Hello,

Dr. R.C. Mishra, M.Ch. Neurosurgeon at Ujala Cygnus Rainbow Hospital is available for consultations.

Dr. Mishra's appointment can be scheduled directly through the hospital contact. Please contact the hospital for further details.

Hello Janvi Ji,

Aksar yeh kisi nutritional deficiency, jaise iron ya zinc ki kami, ya psychological factors ke kaaran hoti hai.

Aapko kya karna chahiye:

1. Apne doctor ya nutritionist se is bare mein baat karen taaki wo aapki health check kar saken aur proper treatment ya supplements de saken.
2. Apne diet mein iron-rich foods jaise spinach, lentils, or lean meats include karen.
3. Agar ye habit emotional ya psychological stress se related hai, toh ek therapist se baat karna faydemand ho sakta hai.

Hello Rakesh ji,

Yes, Safdarjung Hospital in New Delhi, India, offers radiotherapy services. The hospital has a dedicated radiotherapy department that provides advanced radiotherapy treatments, including whole-body radiation therapy, if clinically indicated.

For further details or specific inquiries, please contact the hospital directly.

Hello Rakesh Ji,

Thank you for reaching out! Currently, we do not have a direct tie-up with government hospitals, including Safdarjung Hospital, so we’re unable to book appointments there. We recommend reaching out to the hospital directly to schedule an appointment with a radiation oncologist. If you need assistance finding specialists in private hospitals, please contact us for guidance.

Hello,

To check if your Ayushman Bharat card is accepted at Mission Hospital, you can visit the official Ayushman Bharat Hospital Empanelment page here. This link allows you to search for hospitals empanelled under the Ayushman Bharat scheme across India.

Hello Nitin Ji,

I understand your concerns, and I’m glad you’re actively seeking information to manage your health. Tuberculosis (TB) can sometimes leave behind scar tissue in the lungs, which may cause lingering symptoms like a cough or mild respiratory issues even after the infection is treated. However, each person’s recovery can vary, and symptoms like prolonged cough and weight loss can be concerning and warrant further evaluation.

Points to Consider:

1. Duration of Symptoms: If the cough, weight loss, or other symptoms have persisted for a long time, it’s essential to rule out any active infection, other lung conditions, or complications from TB.

2. Scar Tissue: Lung scarring from TB can be permanent in some cases, but often, symptoms improve over time. If the scar tissue is minimal, symptoms might resolve on their own. In more extensive cases, it may take a few months to a year, depending on your overall health, treatment, and lifestyle factors.

3. Follow-up and Management:

   • Pulmonology Consultation: A pulmonologist can assess any existing scar tissue and suggest treatment options or lifestyle adjustments to help manage symptoms.
   • Additional Tests: If you haven’t had a recent chest X-ray, CT scan, or lung function tests, these might be helpful to assess the extent of scar tissue or any ongoing issues.
   • Nutrition and Weight Management: Given the weight loss, it’s also essential to focus on nutrition, and a specialist can help design a supportive diet plan during your recovery.

Hello Nitin,

The mentioned symptoms can be concerning and could be due to the following reasons:

1. Post-Tuberculosis Effects: After TB, some patients experience long-term fatigue or weakness, which may linger due to the toll the infection and treatments can take on the body.

2. Nutritional Deficiencies: TB treatment can sometimes lead to nutrient deficiencies, such as low vitamin B12, vitamin D, or iron, all of which can contribute to weakness, headaches, and dizziness.

3. Inner Ear or Blood Pressure Issues: Vertigo and dizziness when standing could be related to inner ear problems or low blood pressure (orthostatic hypotension), which might need a specific examination.

4. Other Infections or Underlying Conditions: A comprehensive checkup could be beneficial, as these symptoms may also be related to other conditions, like anaemia or thyroid issues.

It might be helpful to revisit your doctor to discuss these symptoms and request a full blood panel to check for deficiencies or any other underlying conditions. Rest, hydration, and a balanced diet may also help while you seek further evaluation.

Hello Nitin,

We're sorry to hear you're experiencing persistent pain in your abdomen, especially given your history with abdominal TB. It’s understandable that this would be concerning.

Since you've had abdominal TB in the past and have been treated twice, the pain could be due to a few reasons:

1. Residual Inflammation or Scarring: Sometimes, TB can leave behind scar tissue, which may cause discomfort or pain even after the infection is gone.

2. Possible Recurrence or Another Condition: Though ultrasound may not show anything, abdominal TB can sometimes require further investigation. A CT scan, MRI, or additional lab tests (like a TB PCR test) could be more definitive, especially if the symptoms are specific and persistent.

3. Gastrointestinal or Muscular Issue: Pain in the lower right abdomen can also be caused by other issues, such as intestinal or muscle-related concerns.

It would be best to consult with a gastroenterologist or an infectious disease specialist, who may suggest further tests to rule out recurrence or other conditions. In the meantime, try to avoid any activities that might strain your abdominal area, and keep track of any other symptoms that could help your doctor in diagnosis.

Hello Sharik Ji,

Convulsions, or seizures, require medical attention to identify the cause and determine the most effective treatment plan. Here are some commonly recommended treatments and steps for managing convulsions:

1. Medication: Anti-seizure medications (anticonvulsants) are the primary treatment for controlling seizures. The choice of medication depends on the type of seizure, age, health, and any underlying conditions.

2. Lifestyle Adjustments:

   • Sleep and stress management: Lack of sleep and high stress can trigger seizures. Regular sleep and stress-relief techniques (like mindfulness or meditation) can help.
   • Avoiding triggers: Certain triggers, like flashing lights, alcohol, or specific foods, can provoke seizures in some individuals.
     
     

3. Dietary Therapy: The ketogenic diet, a high-fat, low-carbohydrate diet, has been found effective, especially in children with epilepsy who do not respond to medication.

4. Surgical Intervention: In some cases, if medication is ineffective and seizures originate from a specific brain area, surgery might be recommended. Options include:

   • Resection surgery: Removing the part of the brain causing seizures.
   • Vagus nerve stimulation (VNS): Implanting a device that sends electrical impulses to the brain to help reduce seizures.
     
     

5. Supportive Therapies: Some patients benefit from therapies like cognitive behavioural therapy (CBT) or occupational therapy to improve their quality of life and manage seizure-related challenges.

If you need help finding a neurologist or epilepsy specialist, we can help arrange a consultation through HexaHealth to explore personalized treatment options.

Hello Salman Ji,

Gale band hone ke kuch specific karanon se ho sakta hai, jaise allergy, acid reflux (GERD), asthma, ya kabhi-kabhi viral infection. Yeh symptoms samay ke saath agar zyada severe ho rahe hain, toh yeh bhi ho sakta hai ki koi respiratory ya cardiac issue ho. Aapke liye best yeh hoga ki aap ek specialist, jaise ENT doctor ya pulmonologist, se consultation lein, taaki woh ek proper diagnosis aur treatment de sakte hain.

Kuch important tips:

1. Steam lein: Yeh nasal passages ko clear karne mein madadgar ho sakta hai.
2. Garam paani se gargle karein: Yeh gala kholne aur irritation kam karne mein help karega.
3. Triggers se bachein: Agar allergy ka shak hai, toh dust, dhuaan, ya cold drinks se door rahen.

Agar aapko specialist se milna hai toh HexaHealth ke madhyam se consultation arrange kiya ja sakta hai.

Hello Mr Bhat,

Thank you for reaching out about your neurological concerns. Neurological symptoms can vary widely, from headaches, dizziness, or numbness to more complex issues like memory loss, muscle weakness, or changes in coordination. Since these symptoms can have a range of causes, we recommend consulting a healthcare professional, preferably a neurologist, to help with a thorough evaluation. They can conduct tests to understand the root cause of your symptoms and recommend appropriate treatment options.

In the meantime, feel free to share more details if you’re comfortable so that we can better assist you.

Hello Ranjeet Ji,

Dr Manjul Tripathi is a highly skilled Neurosurgeon currently practising at PGIMER, Chandigarh. His areas of expertise include:

• Minimally Invasive Brain and Spine Surgery
• Endoscopic Neurosurgeries
• Vascular Neurosurgeries
• CV Junction Surgeries

For booking an appointment with Dr. Manjul Tripathi, we recommend directly connecting with PGI Hospital, Chandigarh, as we are unable to facilitate appointments with doctors associated with government hospitals.

We apologize for the inconvenience and thank you for understanding.

Hello Rupali Ji,

Epilepsy is a neurological disorder characterized by recurrent seizures. Managing epilepsy involves controlling seizures and improving quality of life through a combination of treatments.

Treatment Options:

1. Medications (Anti-Epileptic Drugs - AEDs):
   • The most common treatment for epilepsy. Medications help control seizures in about 70% of people.
   • It's important to take medications as prescribed and regularly monitor for any side effects.
   • Your doctor will recommend the most suitable one based on the type of seizures.
2. Lifestyle Changes:
   • Avoiding triggers like stress, lack of sleep, or certain lights and sounds can help manage seizures.
   • Regular sleep patterns and a healthy diet are essential for overall well-being.
3. Surgery:
   • In cases where medications do not adequately control seizures, surgery may be recommended. Surgical removal of the part of the brain where seizures originate can sometimes be effective.
4. Vagus Nerve Stimulation (VNS):
   • A device is implanted under the skin that sends electrical pulses to the brain to reduce seizure frequency.
5. Responsive Neurostimulation (RNS):
   • A device that detects seizure activity and delivers electrical stimulation to prevent a seizure from occurring.

Consult a Specialist:

Epilepsy treatment is highly individualized. Consult with a neurologist to explore the best treatment options based on your specific condition. You can also reach out to HexaHealth for expert consultation and guidance.